Individual
ANN MARIE BEADLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
100 PHYSICIANS WAY, SUITE 110, LEBANON, TN 37090-8102
(615) 547-6700
(615) 547-6707
Mailing address
PO BOX 370, FORTSON, GA 31808-0370
(706) 494-3008
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
120773
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3632835
—
TN
Enumeration date
08/09/2005
Last updated
08/20/2020
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